RENTAL APPLICATION Today’s Date Property address Monthly rent Applicant Full name of applicant Present Address Telephone number (home) D.O.B.
Date of anticipated move in Security deposit
(work) Driver’s license
social security #
Applicant’s employment Name of present employer Address Position Supervisor’s name Name of previous employer Address Position Supervisor’s name Other sources of income Spouse Full name of spouse Present Address Telephone number (home) D.O.B.
Pet deposit
Date started
Monthly income phone
Date started
Monthly income phone
(work) Driver’s license
social security #
Spouse’s employment Name of present employer Address Position Supervisor’s name Name of previous employer Address Position Supervisor’s name Other sources of income Present Landlord or mortgage company Present Landlord or mortgage company Telephone number (home) Monthly rent or mortgage payment
Date started
Monthly income phone Monthly income
Date started phone
(work) Date of move-in
Date of move-out
Previous Landlord or mortgage company Previous Landlord or mortgage company Telephone number (home) Monthly rent or mortgage payment
(work) Date of move-in
Personal References Name Address Name Address
Date of move-out
phone phone
Emergency In case of emergency contact Relationship
phone
Occupants List all occupants Pets List any pets: type List any pets: type
breed breed
weight weight
age age
Vehicles List vehicles to be parked at premises: make
model
year
make
model
year
Credit/Criminal History Bank name Address Checking account number
phone
List all credit obligations with minimum monthly payment:
received deferred adjudication for a Have any of the occupants listed above ever been: convicted of a felony? been evicted? broken a lease? declared bankruptcy? felony? The above listed applicant declares that all statements made in this application are true and complete. Applicant hereby authorizes the National Association of Independent Landlords to verify all of the information in this application and obtain credit reports on the above listed applicant and/or applicant’s. If applicant or applicant’s spouse has given any false information Landlord is entitled to reject the application, and retain all application fees as liquidated damages for Landlord’s time and expenses in processing this application. Applicant shall give Landlord a nonrefundable application fee in the amount of $ . Signature of applicant
Date
Signature of Spouse
Date
Signature of Landlord or Landlord’s agent
Date